ID 97856
タイトルヨミ
トウカ ニオケル ダイチョウ センコウ 83レイ ノ リンショウテキ ケントウ
タイトル別表記
A clinical study on 83 perforated cases of the colon
著者
井上, 聖也 徳島県立中央病院外科 徳島大学 教育研究者総覧
倉立, 真志 徳島県立中央病院外科
近清, 素也 徳島県立中央病院外科
八木, 淑之 徳島県立中央病院外科
広瀬, 敏幸 徳島県立中央病院外科
斎藤, 勢也 徳島県立中央病院外科
住友, 正幸 徳島県立中央病院外科
藤野, 良三 徳島県立中央病院外科
キーワード
colon perforation
diffuse peritonitis
SOFA score
severity rating
endotoxin adsorption therapy(PMX-DHP)
資料タイプ
学術雑誌論文
抄録
Introduction : Colon perforation easily causes septic shock and multiple organ failure, mortality rate is high. We studied prognostic factors with colon perforation. From January1999to December 2008, 83 patients with colon perforation underwent emergency surgery in this department.
Methods : Subjects were retrospectively divided into survivors(n=67)and nonsurvivors(n=16). We studied their clinical factors and compared mortality for each factors. Results : Overall mortality was19% 16/83). The mean age was74years, and significantly higher mortality over 80years. The cause perforation was idiopathic in25cases, cancer in21cases, diverticulitis in19 cases, iatrogenic in8cases, trauma in2cases, others in8cases. The perforation site was the most sigmoid colon. Patients with SOFA score at least five points before surgery and preoperative shock and leucopenia and older than24hours before surgery was significantly higher mortality. Each was no difference in complications before surgery. PMX-DHP was performed in 39 cases 13% mortality. Discussion : In patients with colon perforation, preoperative assessment SOFA score was trusted to reflect the outcome.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
67
5-6
開始ページ
241
終了ページ
246
並び順
241
発行日
2011-12-25
備考
フルテキストファイル
言語
jpn
部局
医学系